Stanley Palumbo, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1964 Issued in OH

Practice address

1350 5TH Ave
Ste 112
Youngstown, OH 44504-1728

Phone

(330) 744-1027

Fax

(330) 744-1029

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stanley J Palumbo

  • Psychologist
  • Youngstown, OH
  • NPI 1629347141
  NPD (past) Authorized official
• Stanley J. Palumbo, PHD

  • Psychologist
  • Youngstown, OH
  • NPI 1174815831
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1467448944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 5TH AVE",
            "address_2": "STE 112",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041728",
            "telephone_number": "330-744-1027",
            "fax_number": "330-744-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 5TH AVE",
            "address_2": "STE 112",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041728",
            "telephone_number": "330-744-1027",
            "fax_number": "330-744-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "1964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0353175",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000131570",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William George Paloski, D.O.
• Suzanne Foley Paluga, LPCC
• Diane Elizabeth Palumbo, LISW
• Jennifer Palumbo, LPCC
• Robyn L Palumbo, RN
• Panacea Behavior Therapy
• Theresa M Pancoe, LSW
• Hasit P Pandya, MD
• Terrance L Pankey Sr.
• Pamela Panning, SWT

• Clinical Psychologist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.